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Updated: Nov 11, 2025

A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
Published on: October 16, 2021
Mitral valve repair using the daVinci surgical system after MitraClip failure
Kosuke Nakamae1, Takashi Oshitomi1, Kentaro Takaji1
1Division of Cardiovascular Surgery, 38347Saiseikai Kumamoto Hospital, Kumamoto, Japan.
Abstract:
Reports of mitral valve replacement after MitraClip removal have increased; however, surgical re-intervention is risky due to patients' frailty and comorbidities. We report a case of mitral valve repair after MitraClip failure using the daVinci surgical system for a 55-year-old man with many comorbidities and two previous cardiac surgeries. The daVinci surgical system allows detailed handling with high-resolution visualization and endowrist instruments that provide surgeons with clear three-dimensional images and stabilized handling. This procedure enables us to remove the MitraClip precisely while preserving the mitral valve leaflet.
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